He paʻakikī anei ke ale i ka meaʻai? Ua paʻa anei i loko o ka puʻu? He Eosinophilic Esophagitis anei kēia? (EOSINOPHILIC ESOPHAGITIS)

Ke manaʻo nei ʻoe ua paʻa kāu meaʻai i loko o kou puʻu ma kahi o ke iho ʻana i lalo o kou puʻu? A i ʻole he pinepine kou ʻeha i loko o kou umauma, ʻeha, a me ka nalowale o ka makemake? Manaʻo ka poʻe he nui he pilikia kinoea maʻamau kēia mau hōʻailona (gastritis), akā i kekahi manawa aia paha kekahi kumu ma hope o kēia. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana hou, akā i kēia manawa ke lilo nei i mea maʻamau. ʻO ia ka Eosinophilic Esophagitis.

I ka ʻōlelo maʻalahi, he aha ka Eosinophilic Esophagitis?

Me he mea lā he lōʻihi a paʻakikī kēia inoa, akā e mālama kākou ia mea i maʻalahi.

ʻO ka ʻōmole e lawe ana i ka meaʻai mai ko kākou waha a i ko kākou ʻōpū ua kapa ʻia ʻo ka esophagus . Ua like ia me ka paipu wai. Loaʻa ka ʻāpana "eosinophilic" mai kahi ʻano o ke koko keʻokeʻo i loko o ko kākou kino i kapa ʻia ʻo "eosinophils." ʻO "Esophagitis" ka mumū o ka esophagus, ʻo ia hoʻi ka pehu a i ʻole ka ʻeha.

No laila, i ka ʻōlelo maʻalahi, ʻo Eosinophilic Esophagitis (EoE) ka wā e hōʻiliʻili nui ai kahi ʻano koko keʻokeʻo i kapa ʻia ʻo eosinophils i loko o ko kākou esophagus, e hoʻoulu ai i ka mumū i loko o kēlā paipu. Ua like kēia me kahi maʻi allergy e kū mai ana ma ko kākou ʻili, akā hana kēia i loko o ke kino, i loko o ka paipu meaʻai.

I ka hala ʻana o ka manawa, hoʻoulu kēia mumū i ka hana ʻana o nā ʻiʻo ʻeha liʻiliʻi i loko o ka esophagus, a emi mālie ka ʻōmole. E noʻonoʻo e like me ka paipu wai e paʻa ana i ka ʻōpala. He aha ka mea e hana ai? Ke moni ʻoe i kahi waha piha o ka meaʻai, ʻaʻole ia e iho maʻalahi. Manaʻo paha ʻoe ua paʻa ka meaʻai, a i ʻole e manaʻo paha e iho mālie ana.

He aha nā hōʻailona o kēia maʻi?

Hiki ke ʻokoʻa iki nā hōʻailona ma muli o kou mau makahiki. ʻAʻole like ka maʻamau o nā hōʻailona i nā keiki ʻōpio e like me nā pākeke.

Ma waho aʻe o kēia mau hōʻailona nui, hiki i nā kānaka o kēlā me kēia makahiki ke ʻike i kēia mau hōʻailona:

• ʻEha ʻōpū: ʻEha ma ka ʻōpū.
• Ka luaʻi a me ka luaʻi ʻana: Manaʻo maʻi a me ka luaʻi ʻana ma hope o ka ʻai ʻana.
• Regurgitation: ʻO ka hoʻi ʻana o ka meaʻai i moni ʻia a i ʻole nā ​​​​wai o ka ʻōpū i loko o ka puʻu a i ʻole ka waha.
• Ka hopena ʻana i ka meaʻai: He pilikia olakino kēia. Paʻa kahi ʻāpana meaʻai i loko o kahi ʻāpana haiki o ka esophagus, e paʻakikī ai ka hanu ʻana. I ia hihia, he mea nui e hele koke i ka lumi pilikia o ka haukapila (ETU). I kekahi manawa, hiki i kēia pani ke kumu o ka pohā ʻana o ka esophagus.

ʻAʻole loaʻa i kekahi poʻe kēia mau hōʻailona i nā manawa a pau. Hiki iā lākou ke nalowale no kekahi manawa a laila hoʻi hou mai.

No ke aha e hana ʻia ai kēia? He aha nā kumu?

ʻOiai ʻaʻole i ʻike ʻia ke kumu kikoʻī, ua manaʻo ʻia ʻo ia ka hopena o ka hana hewa ʻana o kā mākou ʻōnaehana pale . Kuhi hewa kā mākou ʻōnaehana pale i kahi mea i maʻamau ʻole, e like me ka meaʻai a mākou e ʻai ai, he ʻenemi.

Ke kuhi hewa ʻia kēia, hoʻouna ʻia kahi nui o nā pūnaewele i kapa ʻia ʻo eosinophils i ka esophagus ma ke ʻano he pane. Hōʻuluʻulu kēia mau pūnaewele ma laila a hoʻoulu i ka mumū i ʻōlelo ʻia ma mua.

He aha nā meaʻai e hoʻoulu nui ai i kēia maʻi?

ʻO ka hapa nui o ka manawa, ʻo kēia mau hopena alerika ke kumu o nā meaʻai a mākou e ʻai ai. ʻO nā meaʻai maʻamau i hoʻopilikia ʻia:

• Waiū a me nā huahana waiū (Dairy)
• Hua manu
• Palaoa
• Soy
• Nā meaʻai kai/pūpū
• Nā pīnati a me nā nati ʻē aʻe (Pīnati, nati lāʻau)

ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?

Kāhea mākou i nā mea e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i kahi maʻi he mau mea pilikia. Nui ka poʻe me EoE i loaʻa i hoʻokahi a ʻoi aku paha o kēia mau maʻi allergies ʻē aʻe.

• Asthma
• Anu pinepine (Allergic rhinitis)
• ʻEczema a me nā ʻulaʻula (Eczema / Atopic dermatitis)
• Nā maʻi ʻaleka meaʻai ʻē aʻe

Eia kekahi, inā loaʻa i kekahi o kou ʻohana, ʻoiai he kaikaina a makua paha, kēia maʻi, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana iā ia.

Pehea e ʻike ai ke kauka i kēia?

Ke haʻi aku ʻoe i kāu kauka e pili ana i kāu mau hōʻailona, ​​e nīnau aku ʻo ia iā ʻoe i kekahi mau nīnau.

• Ke ʻano o kāu ʻai ʻana: He nui ka poʻe e hoʻomaʻamaʻa me ka ʻike ʻole i kēia mau hōʻailona. No ka laʻana, ke ʻai lākou, nau pono lākou i kā lākou meaʻai a moni iā ​​ia me ka nui o ka wai. Pale kekahi poʻe i nā meaʻai paʻakikī ke ale, e like me ka berena a me ka ʻiʻo. E nīnau aku kāu kauka iā ʻoe e pili ana i kēia mau mea.
• ʻO kou mōʻaukala olakino a me kou ʻohana: E nīnau inā he maʻi allergies kou a i ʻole kekahi o kou ʻohana, e like me ka hānō a i ʻole ka eczema.

Ma hope o kēia ʻike, inā manaʻo ke kauka he EoE kou, e kuhikuhi ʻo ia iā ʻoe i kahi gastroenterologist , nāna e hana i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.

1. Endoscopy (EGD): Pili kēia i ke komo ʻana i kahi ʻōmole lahilahi a palupalu me kahi kāmela liʻiliʻi ma ka hopena ma o ka waha e nānā i ka esophagus, ka ʻōpū, a me ka hoʻomaka ʻana o ka ʻōpū liʻiliʻi. ʻAe kēia i ke kauka e nānā maka i loko o ka esophagus no ka mumū, ka pehu ʻana, nā kiko keʻokeʻo, a me ka haiki ʻana.

2. Biopsy: I ka wā o ka endoscopy, lawe ke kauka i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka paia o ka esophagus. ʻAʻole ʻeha kēia. A laila nānā ʻia ka ʻāpana ma lalo o kahi microscope e ʻike inā he nui loa nā eosinophils. ʻO kēia biopsy wale nō ke ala e hōʻoia pono ai i ka Eosinophilic Esophagitis.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka pahuhopu nui o ka lāʻau lapaʻau, ʻo ia ke kāohi i ka mumū ma ka esophagus. ʻElua mau ʻano nui no kēia. I kekahi manawa hiki ke hoʻohana pū ʻia nā ʻano ʻelua. Hiki iā ʻoe ke hoʻoholo i ke ʻano hana maikaʻi loa iā ʻoe ma ke kamaʻilio ʻana me kāu kauka.

1. Ka mālama ʻana me ka lāʻau lapaʻau

Hoʻohana ʻia nā lāʻau lapaʻau e hōʻemi i ka mumū:

• Nā mea hoʻopaʻa pāpaʻi Proton (PPI): ʻO kēia nā lāʻau lapaʻau i kuhikuhi pinepine ʻia no ka gastritis, akā hiki iā lākou ke hoʻemi i ka mumū i hoʻokumu ʻia e EoE.
• Corticosteroids: He mau steroids ale ʻia kēia i hoʻopili ʻia i loko o ka esophagus. Hana pololei lākou ma kahi o ka mumū a hōʻemi i ka pehu.
• Nā mea hana olaola:Hoʻohana ʻia nā lāʻau pale, e like me ka Dupilumab (Dupixent®) i hoʻolauna hou ʻia nei, no kēia kumu. Hoʻopilikia pololei kēia i ke kaʻina hana alerika a kāohi i ka maʻi.

2. Hoʻōla ʻai

ʻO kāu mea e hana ai ma kēia hihia, ʻo ka hoʻopau mālie ʻana i nā meaʻai āu e manaʻo nei he maʻi alerine paha ʻoe.

• ʻAi Hoʻopau: ʻO nā hui meaʻai nui 6 e hoʻoulu pinepine ai i nā maʻi allergies, ʻo ia hoʻi ka waiū, nā hua manu, ka palaoa, ka soy, nā meaʻai kai, a me nā nati, ua hoʻopau ʻia mai ka meaʻai i ka manawa hoʻokahi.
• A laila e hana hou ke kauka i kahi endoscopy ʻē aʻe i kekahi manawa e ʻike ai inā ua emi ka mumū.
• Ke pau ka mumū ʻana, e hoʻokomo hou ʻia nā pūʻulu meaʻai i hoʻopau ʻia i loko o ka papaʻai pākahi, ma luna o kekahi mau pule.
• Ma hope o ka hoʻohui ʻia ʻana o kēlā me kēia hui meaʻai, hana hou ʻia kahi endoscopy a me ka biopsy e ʻike ai inā ua hoʻi mai ka mumū. Ma kēia ala, hiki iā ʻoe ke ʻike pono i ke ʻano o ka meaʻai āu e maʻi ai.

Pehea ʻoe e noho ai me kēia kūlana?

No ka mea he maʻi mau ka Eosinophilic Esophagitis, hiki i kekahi manawa ke paʻakikī ke ola me ia. Eia nō naʻe, me ka mālama kūpono, hiki ke hoʻomalu piha ʻia nā hōʻailona.

Eia nō naʻe, ʻoi aku hoʻi no kekahi mea i paʻa ka meaʻai i loko o ko lākou puʻu, hiki iā lākou ke hoʻomaka i ka makaʻu i ka moni hou ʻana i ka meaʻai (phagophobia). Makaʻu paha lākou i ka ʻai ʻana i nā waha nui o ka meaʻai, a i ʻole e ʻai i nā mea e like me ka berena. E kōkua kēia mau ʻōlelo aʻoaʻo iā ʻoe i nā manawa e like me kēia.

• E kiʻi i ke kōkua mai kahi meaʻai meaʻai: Hiki i kahi meaʻai meaʻai ke kōkua iā ʻoe e hana i kahi meaʻai ʻono a momona hoʻi me ka hoʻohana ʻana i nā meaʻai ʻaʻole allergens.
• E ʻimi i ke kākoʻo olakino noʻonoʻo: He mea nui loa ka ʻimi ʻana i ke kōkua o ke kauka noʻonoʻo a i ʻole ke kauka noʻonoʻo e lanakila ma luna o kou makaʻu i ka moni ʻana, a me ka hoʻokele ʻana i ke kaumaha e hele mai me kēia maʻi mau.
• E kamaʻilio me nā poʻe i loaʻa nā ʻike like: E nīnau i kāu kauka e pili ana i nā hui kākoʻo kahi e hiki ai iā ʻoe ke kamaʻilio me nā poʻe ʻē aʻe me kēia maʻi. He ikaika nui ka ʻike ʻaʻole ʻoe hoʻokahi.

ʻO ka mea nui loa, ʻo ka hahai pono ʻana i nā ʻōlelo a kāu kauka a hele i nā keʻena lapaʻau i ka manawa kūpono.